| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,155 |
3,793 |
$25K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,131 |
2,791 |
$12K |
| G9920 |
Screening performed and negative |
1,545 |
1,543 |
$3K |
| 90656 |
|
90 |
90 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
179 |
179 |
$2K |
| 90686 |
|
99 |
99 |
$1K |
| 99406 |
|
1,666 |
1,659 |
$1K |
| 99408 |
|
1,717 |
1,710 |
$902.48 |
| 96160 |
|
962 |
957 |
$720.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
196 |
194 |
$718.60 |
| 90715 |
|
12 |
12 |
$597.36 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
257 |
248 |
$555.32 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
13 |
13 |
$510.01 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
410 |
409 |
$168.93 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,261 |
1,256 |
$113.56 |
| 99215 |
Prolong outpt/office vis |
41 |
41 |
$113.26 |
| G9919 |
Screening performed and positive and provision of recommendations |
571 |
567 |
$29.26 |
| 88141 |
|
14 |
14 |
$10.53 |
| 3078F |
|
41 |
40 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17 |
16 |
$0.00 |
| 3079F |
|
54 |
53 |
$0.00 |
| 96161 |
|
13 |
13 |
$0.00 |
| 3074F |
|
75 |
74 |
$0.00 |
| 3075F |
|
13 |
12 |
$0.00 |